Mary Jane Jackson, RN, NP - Medicare Nurse Practitioner in Charlottesville, VA

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Mary Jane Jackson, RN, NP is a medicare enrolled "Nurse Practitioner" in Charlottesville, Virginia. Her current practice location is 1204 W Main St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-0123.

Mary Jane Jackson is licensed to practice in Virginia (license number 0024167194) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467663195.

Contact Information

Mary Jane Jackson, RN, NP
1204 W Main St,
Charlottesville, VA 22903-2824
(434) 924-0123
(434) 924-3300

Map and Direction




Provider's Profile

Full NameMary Jane Jackson
GenderFemale
SpecialityNurse Practitioner
Location1204 W Main St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467663195
  • Provider Enumeration Date: 05/24/2007
  • Last Update Date: 07/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830320407
  • Enrollment ID: I20210209001832

Medical Identifiers

Medical identifiers for Mary Jane Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467663195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024167194 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Jane Jackson allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jane Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Jane Jackson, RN, NP
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -		Mary Jane Jackson, RN, NP
1204 W Main St,
Charlottesville, VA 22903-2824

Ph: (434) 924-0123

Reviews and Comments


Nurse Practitioner Nurses in Charlottesville, VA

Norma Branham, R.N., N.P.
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Neil Peterson,
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Joy R Miller, PNP
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Phone: 434-243-2617    
Rebecca L Hand, ACNP
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Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-982-1100    
Megan E. Kingdon, NP
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Medicare: Medicare Enrolled
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-9400    Fax: 434-982-1618
Mrs. Stephanie Richardson Wilhelm, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911
Phone: 434-654-7150    
Kimberly Conrad,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Lee St, Charlottesville, VA 22908
Phone: 434-924-9333    Fax: 434-244-7526

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.